Va Form 21-674 - Request For Approval Of School Attendance - Department Of Veterans Affairs Page 2
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4INSTRUCTIONS
NOTE: Read the instructions carefully before completing this form.
How do I complete VA Form 21-674?
VA Form 21-674 should be completed by the person receiving or claiming benefits for a veteran's child who is at least
18 but under 23 and attending school. The veteran's child should complete the form only if he or she has reached the
age of majority and is or will be entitled to receive direct payment of VA benefits. NOTE: The age of majority is
determined by State law; it is age 18 in most states.
Print all answers clearly. For additional space, attach a separate sheet, indicating the item number to which the answers
apply. Make sure to write the veteran's name and VA claim number on any attachments to this form.
Submit the original copy (VA File Copy 1) of the completed form to the VA office shown in Item 1. If no address is
shown, mail or take it to the nearest VA regional office. Keep Claimant's Copy 2 for your own records and use the
reverse, School Attendance Report, to report to VA any change in the child's status, such as termination of school
attendance or marriage.
PART I
All claimants must complete this part. Answer "Yes" to Item 7A only if Federal Employee's Compensation, VA
Dependents Educational Assistance (DEA), or another Federal Agency (U.S. Service Academy, U.S. Merchant Marine
Academy, Bureau of Indian Affairs, etc.) is paying the student's tuition. Do not answer "Yes" simply because Social
Security benefits have been awarded based on the student's continuing school attendance.
PART II
Complete this part only if the benefit being claimed or received is disability pension or death pension. Each income
block must be completed. If you do not receive income from a particular source, write "0" or "none" in the space
provided. Do not leave the space blank. VA will interpret a blank space as "0" or "None". Report the gross amounts
before you take out deductions for taxes, insurance, etc.
Section 306 or Old Law Pension (entitlement to pension established before January 1, 1979): Complete this part only
if the VA benefit payable will be death pension, and there is no surviving spouse entitled to death pension. Do not
complete if the student is a dependent on a veteran's or surviving spouse's award.
Improved Pension: Complete this part showing the student's income. Educational or vocational rehabilitation expenses
are amounts paid by the student for his or her course of post-secondary education or vocational rehabilitation, including
tuition, fees, and materials. If any of these expenses are paid by the student, the expenses may be deducted from the
earned income of the student. Report the total amount(s) paid and dates of payment in Item 14, "Remarks."
PART III
This part will be completed by the student only if he or she has reached the age of majority and is claiming benefits in
his or her right. Otherwise, the veteran, surviving spouse, guardian or custodian will sign and also enter his or her
relationship to the student in Item 16.
Privacy Act Notice: VA will not disclose information collected on this form to any source other than what has been
authorized under the Privacy Act of 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses (i.e., civil or
criminal law enforcement, congressional communications, epidemiological or research studies, the collection of money
owed to the United States, litigation in which the United States is a party or has an interest, the administration of VA
programs and delivery of VA benefits, verification of identity and status, and personnel administration) as identified in the
VA system of records, 58VA21/22/28, Compensation, Pension, Education, and Vocational Rehabilitation and Employment
Records - VA, published in the Federal Register. Your obligation to respond is required to obtain or retain benefits. the
requested information is considered relevant and necessary to determine maximum benefits under the law. Giving us your
and your dependents' SSN account information is mandatory. Applicants are required to provide their SSN and the SSN of
any dependents for whom benefits are claimed under Title 38 U.S.C. 5101(c)(1). VA will not deny an individual benefits
for refusing to provide his or her SSN unless the disclosure of the SSN is required by a Federal Statute of law in effect
prior to January 1, 1975, and still in effect. The responses you submit are considered confidential (38 U.S.C. 5701).
Information submitted is subject to verification through computer matching programs with other agencies.
Respondent Burden: We need this information to determine entitlement to benefits for a veteran's child who is between
age 18 and 23 and attending school (38 U.S.C. 104(a)). Title 38, United States Code, allows us to ask for this information.
We estimate that you will need an average of 15 minutes to review the instructions, find the information, and complete this
form. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is displayed. You are
not required to respond to a collection of information if this number is not displayed. Valid OMB control numbers can be
located on the OMB Internet Page at
. If desired, you can call 1-800-827-1000 to
get information on where to send comments or suggestions about this form.
VA FORM 21-674, APR 2015
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